Urinary Tract Infections in Childhood

Definition

The urinary tract carries urine from the kidneys to the outside of the body. It includes the kidneys, bladder, and tubes that connect them. The tubes from the kidney to bladder are called ureters. The tube from the bladder to the outside of the body is called the urethra. A urinary tract infection (UTI) is an infection in any of these structures.

Diagnosis

The doctor will ask about your child's symptoms and medical history. A physical exam will be done. The doctor may also ask for a urine sample. Follow the doctor's directions on collecting your child's urine.

Your child's bodily fluids may need to be tested. This can be done with:

Urinalysis—a laboratory examination of a urine sample

Urine culture—to identify the specific bacteria involved

Complete blood count and other blood tests if your child has a fever

Imaging tests may be ordered if your child is a boy with a UTI or a girl after her second UTI. These infections may be associated with problems in the urinary tract. The test may include ultrasound or specialized scans and x-rays.

Treatment

Talk with your doctor about the best treatment plan for your child. Treatment options include:

Antibiotics

Antibiotics will help fight the bacteria that is causing the infection. Your child will most likely be given antibiotic pills or liquid to take by mouth. Finish the medication even if your child is feeling better.

Some severe infections may need to have antibiotics delivered by IV or an injection.

Fluids

Encourage your child to drink plenty of fluids. This will help to flush the bacteria out of the system. It will also decrease the concentration of the urine. This may make it more comfortable to urinate.

Pain and Fever Relief

UTIs can be uncomfortable and may cause fever. Your child's doctor may advise over-the-counter or prescription pain relievers.

Follow the instructions on the package.

Note—Aspirin is not recommended for children with a current or recent viral infection. Check with the doctor before giving your child aspirin.

Prevention

To help reduce your child's chances of a urinary tract infection:

Talk to your child's doctor if your child has an abnormality of the urinary system. Your child may need surgery.

Make sure that girls learn to wipe from front to back.

Encourage your child to go to the bathroom often—at least several times a day.

Retract the foreskin of the penis on a regular basis. This will help to keep the area clean.

If your child has UTIs often, the doctor may prescribe antibiotics. This may help to prevent a new infection.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.